NPIMap

Organization Active NPI

Fidelity First Health Care Services, LLC

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
National Provider Identifier
1114241874
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FIDELITY FIRST HEALTH CARE SERVICES, LLC
Practice address
4000 Gus Young Ave
Suite 104
Baton Rouge, LA 70802-1700
Phone
(225) 388-9843
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darryl Brown
Title
Ceo
Phone
(910) 262-3309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4000 Gus Young Ave
Suite 104
Baton Rouge, LA 70802-1700

Mailing address

4000 Gus Young Ave
Suite 104
Baton Rouge, LA 70802-1700

National Provider Directory

National Provider Directory
Tax ID family
Fidelity First Health Care Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1114241874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 GUS YOUNG AVE",
            "address_2": "SUITE 104",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708021700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 GUS YOUNG AVE",
            "address_2": "SUITE 104",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708021700",
            "telephone_number": "225-388-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY FIRST HEALTH CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-262-3309"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.